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Search Results 0 to 11 of about 12 (some duplicates have been removed)
on november the 27, it specifically mentions a section, 1311 of aca, which directs quality health plan issues and improvement strategies as directed by the secretary, specifically subsection 8 of 1311 would allow the secretary to prevent physicians treating patients in exchanges unless they implement such mechanisms to improve health care quality the secretary may require. physicians must follow quality directives as defined by the secretary or lose their business. mr. smith, are you aware of this provision? >> i am not familiar with that section. >> let me ask you this. in this provision, you may not know this either, but the word quality is not defined in the statute. it is safe to assume that the secretary, not just secretary sebelius, but every secretary to follow, would be able to define for regulation what that word quality means. yes or no? >> i believe that is the correct interpretation. again, we have tried to introduce quality performances into a variety of parts of our programs, both in managed care, both in the fee-for-service world, and this is another one of our concerns that we
a loss so vast. the aca is not just above the expansion of medicaid or establishing an insurance exchange, it is about the hundreds of federal mandates and procedural requirements that have the escaped public attention, but to which we by law must obey. the fine print of the legislation is so complex, even the federal government struggles to understand it. the states cannot fully understand the impact on finances, systems changes, and operations. this law completely overwhelms society's safety net for the needy. there are a few problems in pennsylvania created by the aca. the law mandates that we expand our provider enrollment system to check with their medicare data. medicare databases cannot handle automated changes. we will have to add staff resources to respond to 100,000 inquiries every month. we are mandated to create separate databases to accommodate is exchanges and some databases like the masterfile, we have not been given access to. we adopt past medicaid rules radically changing the tailor- made renewal system that took years to refine and perfect. the verification system will
is the creation of health care exchanges. now, let me explain. these aca exchanges are online marketplaces. in short, websites. the idea is to force insurance companies to play by the same rules and compete for a large pool of customers resulting in less expensive premiums for everyone. here's how it works. let's say you're one of the 50 million people in in country without health care. you're looking to get yourself covered. you'd log on to your state's exchange or call a hotline number. the goal is to shop around for whatever plan works best for you and your family. if you are living at 138% to 400% of the poverty line, that is a family of four living off an annual income of $31,809 to $92,200, then you are eligible for government money to subsidize the cost of your premium. if you're above that level, you don't get the federal subsidy. the law requires every state to have a place for people to shop for coverage. there are three options on how they are created and operated. >> first, states can set up and run their own exchanges or if they're not quite ready to tackle is on their own, st
that must be covered by any health plan offering a plan in the aca exchange. i understand this has far reaching consequences on premiums. benefits must be provided. according to the notice in the federal register, the rule was approved by administrator on august 1, 2012. that is three months before. yet the role did not receive approval from secretary sebillius until two weeks ago. what did it take two month for the administration staff to review -- and yet the public will have only four weeks to review during the period of public comment on the ruling issued on november 26? i would note this is a time of year when people's focus is generally on things other than long awaited rules. >> we put a bulletin on the essential health benefits quite some time ago and got comments on the bulletin. the public had an opportunity to provide public comment on essential health benefits before the proposed rule was put out. there were some changes from what had been in the bulletin, but by and large what is in the bulletin is what is a in the proposed rule. i think there has been ample opportunity fo
mas y con identico marcadores recibieron 102 en contra, tambien tenemos el resumen. primero fue aca en el verizon center donde los lakers se apoyaron una vez mÁs en el accionar del astro olÍmpico kobe bryant y salieron de una mala racha al vencer este viernes a los washington wizards 102-96. con esta victoria, el quinteto lagunero dejÓ atrÁs una cadena de cuatro derrotas seguidas, gracias al ataque de 30 puntos, siete rebotes e igual cantidad de asistencias de bryant. por el conjunto capitalino destacaron cartier martin, con 21 puntos saliendo de la banca, tambiÉn su mayor producciÓn de la temporada, y el brasileÑo nene É hilario y martell webster, con 17 tantos cada uno. la receta de los 102 siguio el sabado en miami, donde lebron james anotÓ 23 puntos y capturÓ 10 rebotes, y el heat conservÓ siempre la ventaja para derrotar por 102-72 a los washington wizards. udonis haslem y dwyane wade anotaron cada uno 13 unidades para miami, que superÓ en puntos a washington por 29-10 en el tercer periodo para irse arriba 33 tantos en el marcador. bradley beal anotÓ 19 tantos y carti
, aca esta lo que paso con nuestros iniciamos nuestro resumen deportivo de fin de aÑo con las pocas alegrÍas que nos dejaron nuestros equipos del a Área. por ejemplo en el be Éisbol de grandes ligas, donde los nacionales de washington contra todos los pronÓsticos fue el mejor de la temporada regular, despues de muchos aÑos de espera lograron su clasificaciÓn a la postemporada, fueron varios meses de alegrÍa con los nacionales. muy cerca de acÁ, al otro lado del rio potomac tambiÉn fueron buenos momentos con los orioles de baltimore que hasta en los Últimos instantes luchaban para superar a los yanquis en el primer lugar de la tabla, sin embargo tambie Én lograron su clasificaciÓ n al playoffs. los oiroles quedaron fuera en la postempor ada pero terminaron peleando. otra buena alegrÍa fue en el fÚtbol de la mls donde d.c. united con un entrenador joven y con muchas ilusiones lograron su clasificaciÓn al playoffs tambiÉn despues de muchos aÑos de espera. el equipo capitalino no pudo contra el dynamo y termino la temporada antes de lo previsto. fue un aÑo donde se con
will get even higher. >> but that is the point now that you have the aca that you can have this discussion in a way that was much harder to have before. it is really saying for those who are able to continue working, can we begin to reorient the expectation for the next generation, which is what we're talking about, recognizing that for people who are in that pre now pre-medicare age, they will no longer have to postpone taking care of health care because they, in fact, have an option. so it is why this discussion takes on a whole different tone as a result of the affordable care act having passed. >> i mean, i would say we have options, but we don't know if they're affordable options, and that's really the big difference. >> al milliken, am media. what can we learn from other countries? i'm wondering if any of you have studied the health benefit programs elsewhere, and do any have comparable insurance programs, and what has been the experience in other nations? >> most of them are struggling mightily with the promises they have made which encourage people to retire even earlier than they
will lose access to critical health services covered in the a.c.a. like cancer screenings. and the last step is to go after another favorite g.o.p. target and that's social security. house republicans have only one to protect and that's the wealthiest americans. it couldn't be more obvious. i yield back the balance of my time. the speaker pro tempore: the gentleman yields back the balance of his time. the gentleman from wisconsin. mr. ryan: i yield three minutes to the chairman of the commerce committee, mr. upton. the speaker pro tempore: the gentleman from michigan. up up -- mr. upton: we work to get our $16 trillion national debt under control and we put us on a path towards a more solemn fiscal future. the spending reduction act of 2012, we identified key areas to reduce spending to replace the sequester and without this thoughtful balanced package of savings, in two weeks, the sequester is going to cut discretionary spending while shielding the lion's share of the government's budget from reduction. critical priorities such as important cancer research at the n.i.h. and review of budget
. we are trying to do that. implementing the aca is important in terms of delivery reforms. it pays doctors differently. it rewards quality. we should do that sooner than later. save those dollars sooner. in those discussions, are there other ways that we can see revenues come in from within the health-care system? that is on the table. i am not keen on increasing the age on medicare. we have gone through a really big debate about finding a way to have all americans have health insurance. that is taking a group of americans and figure out how they afford health coverage. that shifts the costs of subsidies and they go into the exchange. does makes it more expensive for younger people because the older cohort is in that group? for medicare, these are the least expensive seniors we have. the most expensive seniors are much older. you have to look exactly at the consequences and whether that is cost savings for government and families? >> the president had a firm statement this week to the business roundtable about the debt ceiling where he said, i will not play that game. he will not n
at the internet and say do we have to draw lines here? have we gone too far? i personally think my position on a.c.a. is a good position and protecting the people's right to know is a high priority. >> what have you decided to do with all your papers and years in congress? >> that is an important question. i'm pleased to say that my alma mater at ucla is taking some interest. hopefully, some of that work will be of value to researchers sometime out there. >> you have expressed optimism and interest of what your future might hold but it has to be difficult leaving this institution after so many years. this has been most of your adult life, your way of life. how are you using these last few weeks here, still as a voting member of congress? is the experience -- does it feel different saying this might be the last time i will do this? >> i was looking at my cad and wondering how many more votes i have left. if i thought this was the end of impacting public affairs i would be very nostalgic. we're looking at it as another chapter in life -- the book of life that we look forward to. >> do you plan to make
Search Results 0 to 11 of about 12 (some duplicates have been removed)

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